Provider Demographics
NPI:1528737665
Name:BOGOIAN, HANNAH RYAN (PHD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:RYAN
Last Name:BOGOIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RYAN
Other - Last Name:MICHALAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:132 DAVID RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CT
Mailing Address - Zip Code:06422-2615
Mailing Address - Country:US
Mailing Address - Phone:413-320-6907
Mailing Address - Fax:
Practice Address - Street 1:150 OTROBANDO AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2116
Practice Address - Country:US
Practice Address - Phone:860-889-7274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-11
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005162103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist